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Organization
LS MESQUITE OPERATOR LLC
Active
Organization
LS MESQUITE OPERATOR LLC
Active
Other names
Mesquite Village Healthcare Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAZAR (AUTHORIZED REPRESENTATIVE)
(323) 651-1808
Entity
Organization
Contact information
Practice address
825 W KEARNEY ST, MESQUITE, TX 75149-3206
(972) 288-7668
(972) 216-7627
Mailing address
825 W KEARNEY ST, MESQUITE, TX 75149-3206
(972) 288-7668
(972) 285-1232
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
02/05/2019
Last updated
10/09/2020
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